NPIMap

Organization Active NPI

Brilliant Dental Care

  • Dental Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1376929497
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
59083 Issued in CA
Legal business name
BRILLIANT DENTAL CARE
Practice address
2701 Ming Ave SPC 221
Bakersfield, CA 93304-4441
Phone
(661) 369-8910
Fax
(661) 369-8914
NPI assigned
Jul 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Allen Mossaei
Title
President
Phone
(661) 369-8910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 59083 CA Primary

Addresses

Primary practice location

2701 Ming Ave SPC 221
Bakersfield, CA 93304-4441

Mailing address

2701 Ming Ave SPC 221
Bakersfield, CA 93304-4441
Phone (661) 369-8910

National Provider Directory

National Provider Directory
Tax ID family
Allen Mossaei a Professional Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1376929497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 MING AVE SPC 221",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933044441",
            "telephone_number": "661-369-8910",
            "fax_number": "661-369-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MING AVE SPC 221",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933044441",
            "telephone_number": "661-369-8910",
            "fax_number": "661-369-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "MOSSAEI",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-369-8910"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "59083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.